合肥市省级医院髋部骨折流行病学分析

Epidemiological analysis on hip fracture in provincial hospital in Hefei, from 1998 to 2002

目的 了解合肥市省级医院髋部骨折病例的流行病学状况。方法 入医院病案室调集1998～ 2 0 0 2年全部髋部骨折病例 ,设计调查表进行相关因素的登记 ,对髋部骨折的流行特征及 5年发生情况进行动态分析。结果 合肥市省级医院 1998～ 2 0 0 2年共收治髋部骨折病例 10 5 8例 ,其中股骨颈骨折 6 6 7例 ,股骨粗隆间骨折 391例 ,女性略多于男性 ,左侧多于右侧 (左侧与右侧之比股骨颈骨折为 1.2 0∶ 1,粗隆间骨折为 1.0 8∶ 1) ,从事体力劳动者多见 ,骨折的原因分析中跌倒扭伤占 73.4 4 % ;趋势分析发现髋部骨折发生率随年龄增长而增大 ,6 0～ 80 a为发生高峰年龄 ;时间上来看合肥市省级医院髋部骨折近 5年发生率呈总体上升趋势 (P <0 .0 5 ) ;性别上看男性髋部骨折发生率近 5年呈上升趋势 (P <0 .0 5 ) ,年均上升 9.6 8% ;女性似有下降趋势 ,年均下降0 .75 % ,但无显著性差异 (P >0 .0 5 )。髋部骨折发生季节分析结果表明冬季为高发季节。结论 合肥市省级医院髋部骨折病例近 5年呈上升趋势 。

Objective To study the epidemic characteristics of hip fracture in Hefei provincial hospital from 1998 to 2002. Methods The cases of hip fracture in Anhui Provincial Hospital and the First Affiliated Hospital of Anhui Medical University were recorded from 1998 to 2002. Questionnaire was devised to fill in the corresponding information and the trends of hip fracture were analyzed by linear regression model. Results 1 058 cases (526 for males and 532 for females) were collected. Femur neck fracture were 667 and intertrochanteric fracture were 391, respectively. The left of hip tended to be more breakable than the right. It was more common in those who engaged in manual labor than those who in brainwork. 777 cases were caused by slipping up or/and wrenching, accounting for 73.44% of its total. Trend analysis showed that hip fracture presented a upward trend as age growing, and got to its climax between age group 60 and 80. We also found that cases of males were in increasing trend during past five years, with annual 9.68%(P< 0.05) and cases of females showed a slightly decreasing trend, with annual 0.75%, but no significant difference was found (P>0.05). Hip fractures occurred more in winter. Conclusions Hip fracture in Hefei provincial hospital showed a upward trend from 1998 to 2002, and the treatment and prevention of hip fracture among middle-aged and elderly population should be stressed.